Deep Venous Thrombosis After Total Hip or Total Knee Arthroplasty in Patients in Japan

Fujita, Shinya; Hirota, Shigeaki; Oda, Takenori; Kato, Yasuji; Y, Tsukamoto; Fuji, Takeshi

doi:10.1097/00003086-200006000-00020

Cited by 111 publications

(79 citation statements)

References 21 publications

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“…Second, the subjects of this study were all Japanese and the prevalence of DVT may be different among various ethnic groups. Kim et al [16,17] reported Koreans undergoing THA have a low incidence of DVT [16,17], although others reported the incidence of DVT appears similar between Asians and Western populations [7,25]. We therefore cannot say whether the incidence in our population in fact differs from that of others.…”

Section: Discussionmentioning

confidence: 61%

“…These results lead us to conclude the use of IPC in our patient population having elective hip surgery offers effective prophylaxis against DVT and PE. Being obese is reportedly a risk factor for DVT in the Japanese population [7]. The mean BMI for patients in this study was 23, which might have contributed to a low incidence of DVT.…”

Section: Discussionmentioning

confidence: 62%

“…The mean BMI for patients in this study was 23, which might have contributed to a low incidence of DVT. However, a report of the same ethnic group with a similar mean BMI (23.5) showed 23% of DVTs after THA [7]. Moreover, the mean BMI of the nine patients who had DVTs was 24 (range, 19-32), which did not differ from that of the 173 patients who did not have DVTs.…”

Section: Discussionmentioning

confidence: 78%

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Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population

Tsuda

Kawasaki

Nakamura

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 78%

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Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population

Tsuda

Kawasaki

Nakamura

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…In previous Asian studies of major orthopedic surgery followed by systematic venography, the reported rates of total DVT varied widely, ranging between 0% and 64% after THR [7][8][9][10][11][12], 11% and 77% after TKR [9,[13][14][15][16][17], and 7% and 50% after HFS [8,9,18,19]. However, these studies were heterogeneous, with sample sizes ranging between 14 [9] and 244 patients [14].…”

Section: Discussionmentioning

confidence: 99%

Deep-vein thrombosis rates after major orthopedic surgery in Asia. An epidemiological study based on postoperative screening with centrally adjudicated bilateral venography

Piovella

Wang

Lü

et al. 2005

Journal of Thrombosis and Haemostasis

188

157

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Summary. Background: The incidence of postsurgical venous thromboembolism is thought to be low in Asian ethnic populations. Objective: We studied the incidence of deep‐vein thrombosis (DVT) in Asian patients undergoing major orthopedic surgery of the lower limbs. Patients/methods: We performed a prospective epidemiological study in 19 centers across Asia (China, Indonesia, South Korea, Malaysia, Philippines, Taiwan, and Thailand) in patients undergoing elective total hip replacement (THR), total knee replacement (TKR) or hip fracture surgery (HFS) without pharmacological thromboprophylaxis. The primary endpoint was the rate of DVT of the lower limbs documented objectively with bilateral ascending venography performed 6–10 days after surgery using a standardized technique and evaluated by a central adjudication committee unaware of local interpretation. Results: Overall, of 837 Asian patients screened for this survey, 407 (48.6%, aged 20–99 years) undergoing THR (n = 175), TKR (n = 136) or HFS (n = 96) were recruited in 19 centers. DVT was diagnosed in 121 of 295 evaluable patients [41.0%, (95% confidence interval (CI): 35.4–46.7)]. Proximal DVT was found in 30 patients [10.2% (7.0–14.2)]. Total DVT and proximal DVT rates were highest in TKR patients (58.1% and 17.1%, respectively), followed by HFS patients (42.0% and 7.2%, respectively), then THR patients (25.6% and 5.8%, respectively). DVT was more frequent in female patients aged at least 65 years. Pulmonary embolism was clinically suspected in 10 of 407 patients (2.5%) and objectively confirmed in two (0.5%). Conclusions: The rate of venographic thrombosis in the absence of thromboprophylaxis after major joint surgery in Asian patients is similar to that previously reported in patients in Western countries.

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“…Reported rates of symptomatic and asymptomatic DVT after TKA are approximately 40% to 50% when no prophylaxis is given and 16% to 27% when VTE prophylaxis is prescribed [10,13,18]. The rate of symptomatic VTE in patients undergoing TKA receiving prophylaxis is 1.3% to 2.3% [10,11,27].…”

Section: Discussionmentioning

confidence: 99%

CT Pulmonary Angiography After Total Joint Arthroplasty: Overdiagnosis and Iatrogenic Harm?

D’Apuzzo

Keller

Novicoff

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Deep Venous Thrombosis After Total Hip or Total Knee Arthroplasty in Patients in Japan

Cited by 111 publications

References 21 publications

Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population

Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population

Deep-vein thrombosis rates after major orthopedic surgery in Asia. An epidemiological study based on postoperative screening with centrally adjudicated bilateral venography

CT Pulmonary Angiography After Total Joint Arthroplasty: Overdiagnosis and Iatrogenic Harm?

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